SUDEEP K THUMMA MD (Credential# 565137) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SUDEEP K THUMMA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047555. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 114 Woodland Street, Hartford, CT 06105. The current status is active.
| Licensee Name | SUDEEP K THUMMA MD |
| Credential ID | 565137 |
| Credential Number | 1.047555 |
| Credential Type | Physician/Surgeon |
| Business Address |
114 Woodland Street Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-07 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 534070 | CSP.0045586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-06-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 114 Woodland Street |
| City | Hartford |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Rachna Kapoor | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Karishma K Mehra | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shu-ming Wang Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dan Trinh | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
| Charlene Fosteris | 114 Woodland Street, Hartford, CT 06105 | Resident Dentist | 2020-06-22 ~ 2021-06-21 |
| Chan K. Chung | 114 Woodland Street, Hartford, CT 06105 | Resident Dentist | 2020-06-22 ~ 2021-06-21 |
| Franklin I Rosenberg Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jonathan Abrams Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | Hartford |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sudeep Bansal Md | 131 New London Tpke, Glastonbury, CT 06033 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lenina Thumma | 141 Melanie Dr, East Meadow, NY 11554 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Katherine A. Thumma | 6 Young Ln, West Hartford, CT 06110-2028 | Hairdresser/cosmetician | 2018-07-01 ~ 2020-06-30 |
| Sudeep Taksali | 234 Austin Ryer Lane, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Soumya P Thumma | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on SUDEEP K THUMMA MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).